Individual
DAVID PETERSMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1315 N HIGHLAND AVE STE 202, AURORA, IL 60506-1460
(630) 394-1379
(331) 239-2705
Mailing address
PO BOX 752123, HOUSTON, TX 77275-2123
(312) 476-9064
(312) 900-8230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149027570
IL
Other
Enumeration date
06/22/2022
Last updated
02/17/2025
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